24D0924935 CLIA NUMBER - ALLINA HEALTH CLINIC ISANTI

Laboratory Demographics

  • CLIA Code: 24D0924935
  • Facility Name: ALLINA HEALTH CLINIC ISANTI
  • Facility Address: 300 5TH AVE NE
    ISANTI, MN
    ZIP 55040
  • Facility Phone: 612 863-0408
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DANA L. NELSON
  • NPI Number: 1205385325
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0924935
LAB Type Community Clinic
Facility Name ALLINA HEALTH CLINIC ISANTI
Street 300 5TH AVE NE
City ISANTI
State MN
ZIP 55040
Phone 612 863-0408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Community Clinic
Lab Director DANA L. NELSON

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This page was last updated on: 9/29/2025